MATTHEW AUGUST ODENWALD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070616

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

AUGUST

Last Name

ODENWALD

Business Name

MATTHEW AUGUST ODENWALD MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Transplant Hepatology

Ever Disciplined

LastModifiedDate

06/07/2022